What is ASC-H in Pap smear?
Atypical Squamous Cells (ASC-H) The words “atypical squamous cells” mean that some of your cervical cells looked abnormal. “Cannot exclude high-grade squamous intraepithelial Lesion” means the doctor who viewed your cells was not able to rule out precancerous changes in your cervical cells.
What does ASC-H mean?
A finding of abnormal cells in a Pap test. It means there are abnormal squamous cells in the tissue that lines the outer part of the cervix. ASC-H may be a sign of a high-grade squamous intraepithelial lesion (HSIL), which may become cervical cancer if untreated. More testing may be needed.
What percentage of ASC-H is cancer?
In this study, the authors determined the rate of significant underlying lesions among women with ASC-H cervical smears who had undergone immediate colposcopy, as well as its associated predictors. The rate of significant underlying lesions was 30.8%. The rate of invasive cancer was 4.5% and all were cervical cancer.
Is ASC-H bad?
Results showing ASC-H indicates your cervical cells are not typical and may be related to HPV. This result considered the cells to be ‘atypical,’ and ‘H’ means there is the possibility of ‘high-grade’ changes in your cervix. If you get an ASC-H result on your pap smear, the doctor will require you to have a colposcopy.
Is ASC-H common?
ASC-H is rare in our laboratory (0.2%). ASC-H cells are depicted in Illustration 2. For a diagnosis of ASC-H, the cytopathologist must first exclude moderate/severe cervical intraepithelial neoplasia or carcinoma in-situ (CIN3/HSIL).
Which is worse ASC-H or LSIL?
Results: The rate of histological CIN2 or worse associated with LSIL/ ASC-H (45%) was between the rates of LSIL (10%) and HSIL (65%), but not significantly different from ASC-H (50%). However, LSIL/ ASC-H was more frequently associated with a definitive histological diagnosis of any CIN2 than ASC-H (30% vs. 8%).
How do you treat ASC-H?
What happens after an ASC-H result on the Pap test?
- Laser ablation – A laser is used to remove the abnormal squamous cells on the surface of the cervix.
- Loop electrosurgical excision procedure (LEEP) – A special type of knife is used to remove the tissue from the surface of the cervix.
What can cause ASC-H?
What causes ASC-H? Causes of ASC-H include human papillomavirus (HPV) infection, inflammation of the cervix, postmenopausal status, prior radiation therapy, and inadvertent sampling of endometrial cells.
Should I be worried if I have ascus?
If abnormal cells persist or the condition worsens, referral to specialist clinic for colposcopy will be required. Since the progression from severe deterioration of cervical cells to cancer generally takes about 5 to 10 years, the condition does not pose any immediate threat, please do not worry excessively.